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Return to <br />Kevin A. Brostrom <br />1811 West Second St., Suite 360 <br />Grand Island, HNE 68803 <br />AFFIDAVIT OF MARITAL STATUS <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />r-, <br />N <br />CD <br />C:D <br />fT1 <br />r- c <br />COMES NOW, the undersigned, being duly sworn, deposes and states that the undersigned <br />is the surviving spouse of the Decedent, and that the following information is true and correct: <br />1. Name of Decedent: Kenneth Dahms <br />Date of Death: February 11, 2021 <br />Domicile at Date of Death: Grand Island, Hall County, Nebraska <br />Date of Marriage: March 24, 1950 <br />2. The Affiant is the surviving spouse of the decedent. <br />3. There is no Federal Estate Tax, Nebraska Inheritance Tax or Nebraska Estate Tax <br />that arose, or can arise, by virtue of the Decedent's death. <br />4. Title to the following described real estate was held by the Decedent and Ella Mae <br />Dahms, the Decedent's spouse, on the date of the Decedent's death, to -wit: <br />Lot Thirty -Nine (39), Wolfe's Subdivision to the City of Grand <br />Island, Hall County, Nebraska commonly known as 517 Johnson Dr., <br />Grand Island, NE 68803 <br />5. As of the date of death, the real estate has a fair market value of $144,563.00. <br />6. The Decedent and Ella Mae Dahms were married as of the date of death of February <br />11, 2021. There is no Nebraska Inheritance Tax lien, and no Nebraska inheritance <br />tax lien. <br />AND FURTHER AFFIANT SAITH NOT. <br />Ella Mae Dahms <br />Subscribed and sworn to before me this 9 day of April, 2021. <br />GENERAL NOTARY - State of Nebraska <br />KEVIN A. BROSTROM <br />My Comm. Exp. September 25, 2022 <br />ON IN3WMISNI SV U32131N3 <br />